Part B News Features
Question: What are some tips for properly documenting E/M visits as it relates to medical decision-making (MDM), particularly when it comes to improving communication with providers?... More
Recent changes mandated by Congress and CMS that boost the status of physician assistants (PA) — or physician associates, as some groups prefer — is another sign that the providers formerl... More
Don’t assume your denial rate for claims with modifier 25 (Significant, separately identifiable evaluation and management [E/M] service by the same physician or other qualified health care pro... More
Question: What are some tips for properly documenting E/M visits as it relates to medical decision-making (MDM), particularly when it comes to improving communication with providers?... More
Recent changes mandated by Congress and CMS that boost the status of physician assistants (PA) — or physician associates, as some groups prefer — is another sign that the providers formerl... More
Don’t assume your denial rate for claims with modifier 25 (Significant, separately identifiable evaluation and management [E/M] service by the same physician or other qualified health care pro... More
Tools
Find the latest list of designated health services (DHS) that are subject to the Stark physician self-referral rule’s restriction on referrals. The new list went into effect Jan. 1, 2026.
Get a head start on revisions to codes in the E/M, cardiovascular, radiology and medicine chapters of the 2026 CPT Manual. The following chart contains the current and revised long descriptors for codes that CMS released in the proposed 2026 Medicare physician fee schedule and intends to assign an active (A) payment status
Benchmark of the Week
Don’t assume your denial rate for claims with modifier 25 (Significant, separately identifiable evaluation and management [E/M] service by the same physician or other qualified health care professional on the same day of a procedure or other service) went down if you reported fewer claims with the modifier.
Clearing blocked cerumen, or ear wax, is far more frequently performed using instrumentation than water irrigation, and providers report millions of the cerumen-removal services per year.

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